Week 8 | MIDTERM 2 Flashcards
(28 cards)
5 key words for Therapeutic nurse-client relationship
1) trust
2) respect
3) professional intimacy
4) empathy
5) power
what years were the residential schools going?
1857-1996
what was the aim for residential schools?
to assimilate aboriginals into the Canadian life
name some effects of colonialism
- PTSD
- hopelessness
- depression
- anxiety
- family violence
define intergenerational trauma
when untreated trauma-related stress is passed on to the second and subsequent generations
define health disparities
a relative disproportionate burden of disease on a particular population
define health inequities
causes of the disparities which sit largely outside of the typically constituted domain of “health”
define cultural humility
cultural humility is defined as having traits of respect, empathy, and critical self-reflection at both intrapersonal and interpersonal levels
how can we build relationships?
- face-to-face visits
- regular contact with community circles
- consider talking or sharing circles
- trusting relationships
define communication deficit
impairment in the ability to receive, send, process and comprehend concepts or verbal, nonverbal, and graphic symbol systems
is communication disability an impairment?
indeed it is
what is the nursing goal for individuals with a communication deficit?
maximize client’s ability to successfully communicate and to interact with the health care system to ensure optimal health and quality of life
nurses have the obligation to make necessary adjustments/accomidations
what are the 4 steps in nursing actions for clients with communication deficits?
1) convey respect and concern
2) early recognition of deficits
3) assess current communication deficits
4) utilize appropriate strategies to support client’s ability to interact with health care team towards optimal health
what are the types of deficits?
1) hearing loss
2) vision loss
3) cognitive processing concerns
4) mental health issues
5) sensory deprivation
what are the 2 types of hearing deficits?
1) sensorineural: damage to the inner ear or the auditory nerve
2) conductive: sound waves cannot reach inner ear due to excessive wax, buildup, fluid or punctured eardrum
what is hearing loss called when it affects old people?
presbycusis
what are some communication strategies for an individual with hearing loss?
identify if patient has hearing aid and if so when speaking to the client the nurse should:
- reduce environmental noise
- gain client’s attention prior to speaking
- speak near or into the unaffected ear
what are some communication strategies for an individual with vision loss?
- use touch
- allow client to hold your arm when walking
- let client know you’re moving around or leaving
- orient client to the environment
what are some communication strategies for an individual with linguistic loss?
- address one topic at a time
- face patient when speaking
- allow extra time for processing and for replying
define expressive aphasia
client can understand what is being said but cannot express thoughts or feelings in words
define receptive aphasia
difficulty receiving and processing written and oral messages
define global aphasia
client has difficulty with both expressive and receptive language
what is the main cause of aphasia?
CVA (cerebral vascular accident) aka STROKE
What is dysarthria?
speech motor disorder results in slur speech and client may not be able to control and coordinate the functional movements for speech.
